Individual
AMY M WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
860 KINGS CROSS DR, WADSWORTH, OH 44281-8899
(330) 336-7350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.005591
OH
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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